Neonatal Flashcards
term infant
greater or equal to 35 weeks
pulse of a preterm infant
110-180
At what point do you start compressions on a newborn?
HR<60 AFTER 30 seconds of PPV
RR of preterm infant
40-60
BP of a preterm infant
45/25
At what age do almost all infants end up developing RDS?
when they are born <28 weeks of gestation
What is the highest PiP used for infants?
25cm H2O. Anything higher will likely cause bronchopulmonary dysplasia
When using CPAP on an infant, what pressure should you use?
4-6 cmH2O
Target SpO2 at one minute for an infant
60-65%
SpO2 goals for infants (1 min through 10 min)
2 min- 65-70
3 min- 70-75
4 min- 75-80
5 min- 80-85
10 min- 85-90%
Low birth weight
<2500 grams
PPV settings
40-60 breaths/min
PiP 20-25cmH20
PEEP of 5
APGAR is based on what 5 things?
Appearance
Pulse
Grimace
Activity
Respirations
What is considered a good APGAR score?
7-10
4-6 = Fair
What three things are assessed in a rapid evaluation?
Term gestation
Breathing/Crying
Good muscle tone
In order to place the baby with the mother, what three things MUST be present?
The three components of the rapid assessment:
1. term baby
2. breathing/crying present
3. Good muscle tone
RR if using PPV
40-60
PPV FiO2 and flow rate
Flow @ 10Lpm
FiO2 21-30% if premature
Priority in diagnosing ARDS
Infant that is born premature. Need to get L/S RATIO & X Ray